Average Medicaid Emergency Room Visit Payments in Avalon, CA: $43.80
Avg. Paid
$43.80
Range
$37.40 – $51.29
Total Claims
3,255
Providers
3
Typical Payment Range
Typical Medicaid Emergency Room Visit payments fall between $56.00 and $114.21 per claim (median: $78.41). The top 10% of payments exceed $164.43.
Based on per-provider averages across all Medicaid claims in this category.
Emergency department visits for urgent and emergency medical care. Costs vary significantly based on severity level and treatments needed.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Emergency Room Visit in Avalon, CA
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Avalon Medical Development Corporation
100 Falls Canyon Road |
$48.72 | 380 | 343 |
|
Edwin T Mcgroarty
100 Falls Canyon Road |
$51.29 | 1,189 | 1,140 |
|
Aimee Joanne Warren
100 Falls Canyon Road |
$37.40 | 1,686 | 1,557 |
What to Expect: Emergency Room Visit
Emergency room visits begin with triage, where your condition is assessed to determine urgency. Wait times vary from minutes to hours depending on severity. You'll be seen by an ER physician who may order tests, imaging, or procedures. Costs include the facility fee, physician fee, and any tests or treatments. Most ER visits last 2-6 hours.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| Code | Description | Avg. Paid | Claims | Providers |
|---|---|---|---|---|
| 99284 | ER visit high severity | $118.05 | 170,705,529 | 95,397 |
| 99283 | ER visit moderate severity | $106.85 | 157,926,994 | 92,923 |
| 99285 | ER visit high sev w/threat | $136.01 | 111,002,396 | 79,755 |
| 99282 | ER visit low severity | $104.38 | 24,203,945 | 35,900 |
| 99291 | Critical care first 30-74 min | $120.48 | 10,902,745 | 28,076 |
| 99281 | ER visit minor problem | $92.67 | 8,018,086 | 9,327 |
| 99292 | Critical care each addl 30 min | $72.51 | 273,485 | 1,267 |
These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Emergency Room Visit cost in Avalon, CA?
Based on public Medicaid payment data, the average Medicaid reimbursement for Emergency Room Visit in Avalon, CA is $43.80 per claim, based on 3,255 claims from 3 providers. Typical payments fall between $56.00 and $114.21. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Emergency Room Visit in Avalon, CA?
There are 3 Medicaid providers offering Emergency Room Visit related services in Avalon, CA according to public payment data.
What is the price range for Emergency Room Visit in Avalon, CA?
Medicaid reimbursement for Emergency Room Visit in Avalon, CA ranges from $37.40 to $51.29 per claim, with an average of $43.80. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Emergency Room Visit in Other Cities
Detroit, MI
Avg $110.55
4,694,783 claims · 272 providers
Chicago, IL
Avg $84.83
4,391,753 claims · 1550 providers
Phoenix, AZ
Avg $203.26
4,304,161 claims · 851 providers
Indianapolis, IN
Avg $116.65
4,172,341 claims · 898 providers
New York, NY
Avg $130.02
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Columbus, OH
Avg $98.63
3,813,295 claims · 929 providers
Brooklyn, NY
Avg $130.10
3,752,387 claims · 1080 providers
Philadelphia, PA
Avg $135.52
3,661,931 claims · 1481 providers
Other Procedures in Avalon, CA
Office Visit
Avg $12.80
4,852 claims
Blood Work & Lab Tests
Avg $8.42
4,134 claims
Psychiatric Evaluation
Avg $0.00
961 claims
Physical Therapy
Avg $24.10
583 claims
Urinalysis & Urine Tests
Avg $2.50
150 claims
Vaccines & Immunizations
Avg $1.18
98 claims
X-Ray
Avg $3.97
16 claims
Culture & Microbiology Tests
Avg $7.75
15 claims